Organization
TALCOTT ANESTHESIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADISON SAMPLE JR. M.D. (CHAIRMAN)
(847) 696-9015
Entity
Organization
Contact information
Practice address
7435 W TALCOTT AVE, RMC, CHICAGO, IL 60631-3707
(773) 792-5162
(773) 594-8589
Mailing address
444 N. NORTHWEST HWY., SUITE # 302, PARK RIDGE, IL 60068-3277
(847) 696-9015
(847) 696-9017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620300
GROUPBC/BS OF ILLINOIS ID
IL
Enumeration date
10/13/2006
Last updated
09/11/2025
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